Helping Your Labor Start with Cervical Ripening

If your healthcare provider recommends actively trying to get your labor started (inducing labor), you may be able to begin the process at home. One way to get your body ready for labor is to help the cervix open. This guide explains what cervical ripening is, what to expect, and how to stay safe and comfortable.

What Is Cervical Ripening?

Cervical ripening is when your cervix softens, thins, and begins to open in preparation for labor. It is often the first step in labor induction. Cervical ripening can happen naturally, or may be started with:

• Misoprostol (a medication)
• A cervical balloon

Can I Start Cervical Ripening at Home?

Yes. Many patients begin cervical ripening at an appointment, return home, and then and come back to the hospital when it’s time to start labor. At your appointment, you may be given medication or a balloon to help prepare your cervix.

Why Go Home?

Cervical ripening at home may allow you to:

• Spend less time in the hospital
• Rest more comfortably
• Eat and drink when you want

Studies show that going home with a balloon or after receiving medicine is just as safe as staying in the hospital.

Getting Ready for Your Appointment

Before your cervical ripening visit:

• Eat a good meal.
• Pack your hospital bag, and bring it with you just in case. You may be asked to stay in the hospital if:
  • Your baby shows signs of stress
  • There’s not enough fluid around the baby
  • You’re already in labor

Appointment Location

Boston Medical Center
Labor and Delivery
Yawkey Building, 4^th Floor
850 Harrison Ave.

What Happens at the Appointment?

At your cervical ripening visit, we will:

• Listen to your baby’s heartbeat
• Check for contractions
• Possibly perform a vaginal exam to see how open the cervix is
• Talk about the options for helping your cervix get ready for labor

If You Receive Misoprostol (Medication)

• We’ll monitor your baby’s heartbeat for one hour.
• You may have cramps or discharge (pink, brown, or red mucus).

If You Receive a Cervical Balloon

• You may feel pressure or cramping.
• Some light bleeding with mucus is normal.
• You may feel contractions.

What to Do at Home after Cervical Ripening

While waiting to return to the hospital:

• Eat nourishing foods.
• Drink plenty of water.
• Rest or take a gentle walk.
• Spend time with loved ones.

Come back at your scheduled time. If your balloon falls out before then, you can throw it away.

Looking for Additional Help?

If you have questions or concerns, please call us at 617.414.2000. We are here to help.

For more details on how cervical ripening works, see our guide:

Get Ready for Labor before Your Induction (PDF)